Fountain Springs Healthcare

LBN: Rapid City Healthcare, Llc
Fountain Springs Healthcare is an health care organization with primary practice located at 2000 Wesleyan Blvd , Rapid City SD 57702-9340. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Rapid City Healthcare, Llc can be contacted via phone (605) 343-3555, or through Boerboom, Thomas E. via phone (952) 873-7907.

Contact Information

Primary practice address
2000 Wesleyan Blvd Rapid City SD 57702-9340
Phone: (605) 343-3555
Fax: (605) 348-1979
Website:
Map and Directions
Authorized official contact:
Name: Boerboom, Thomas E.
Phone: (952) 873-7907

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10723 South Dakota

Profile Details

NPI number 1750386660
LBN Legal business name Rapid City Healthcare, Llc
DBA Doing business as Fountain Springs Healthcare
Authorized official Boerboom, Thomas E.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 16th, 2005
Last updated Feb 9th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750386660 NPPES
South Dakota MEDICAID 0151303
South Dakota MEDICAID 0151302

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